Physician Billing
Charge entry through payment posting for independent physicians and group practices.
About Physician BillingCardiology billing and coding
Cardiology claims can involve several sites of service, costly diagnostics and detailed payer criteria on one patient. We keep authorizations, modifiers and medical necessity lined up before the claim goes out.
Billing challenges in cardiology
Prior authorization for testing
Echo and nuclear studies often need authorization, and the study performed has to match what was approved.
Global, professional and technical billing
Where the study is read and who owns the equipment decide the use of modifiers 26 and TC.
Bundled procedure components
Catheterization and interventional services have detailed NCCI rules about what can be billed separately.
Medical necessity
Coverage policies list qualifying diagnoses and indications, so the order and the note need to support them.
Codes we commonly review
These are examples, not a full list. Coverage and coding rules vary by payer, so each claim is checked against the current rules and your documentation.
- 93000 electrocardiogram
- 93306 complete echocardiogram
- 78452 myocardial perfusion imaging
- 93458 left heart catheterization
- Modifiers 26 and TC
Services that often help
Medical Coding
Accurate CPT, ICD-10-CM and HCPCS coding, with audits that show where to improve.
About Medical CodingAR Management
Follow-up on aging claims, backlog cleanup and appeals before filing limits run out.
About AR ManagementGet a second look at your cardiology billing
Share a few details about your practice. We will review them and call you within one business day.